RxDoctor Payments Data

Mark Lefler, MD

Family Medicine · Hot Springs, ARNPI 1255310819

Payments from drug & device makers

$1,517in general payments, 2019–2025

Across 108 payments — averaging $14.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • AbbVie$371
  • Pfizer$246
  • Amgen$168
  • Novo Nordisk$146
  • Abbott$112
  • Novartis$97
  • plus $377 from 13 others

What the payments were for

  • Food & beverage$1,517100%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

How this compares

$1,517 in reported general payments places this provider in the 65th percentile of 1,347 family medicine providers in Arkansas.

See all family medicine providers in Arkansas

Medicare billing

Part B allowed, 2024
$284,491
Medicare patients
524
Services billed
8,105

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
OzempicSemaglutide138$139,495
EliquisApixaban106$88,031
JardianceEmpagliflozin80$58,688
FarxigaDapagliflozin Propanediol29$33,549
JanuviaSitagliptin Phosphate27$30,870
Tresiba Flextouch U-200Insulin Degludec23$29,548
XareltoRivaroxaban21$20,431
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen246$10,956
EntrestoSacubitril/Valsartan16$10,492
MyrbetriqMirabegron20$9,306
Tresiba Flextouch U-100Insulin Degludec12$7,161
Gabapentin296$5,634
PaxlovidNirmatrelvir/Ritonavir40$5,585
Itraconazole24$4,927
Levothyroxine Sodium551$4,637

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Novo NordiskOzempic$146$139,495138 claims
PfizerEliquis, Paxlovid$246$93,616146 claims
Boehringer IngelheimJardiance$22$58,68880 claims
AstraZenecaFarxiga$54$33,54929 claims
Johnson & JohnsonXarelto$23$20,43121 claims
NovartisEntresto$97$10,49216 claims
AbbVieSynthroid$371$2,14456 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 65th percentile of 1,347 family medicine providers in Arkansas.

Other family medicine in Hot Springs

See the full list for Arkansas

Where these figures come from

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